Kingsley, Debra Joan

Kingsley, Debra Joan is an sole proprietor health care provider with primary practice located at 646 Main St , Port Jefferson NY 11777-2235. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kingsley, Debra Joan can be contacted via phone (631) 365-9839.

Contact Information

Primary practice address
646 Main St Port Jefferson NY 11777-2235
Phone: (631) 365-9839
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 003628 New York

Profile Details

NPI number 1528119294
LBN Legal business name Kingsley, Debra Joan
Credentials MENTAL HEALTH COUNSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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